OMB Control Number 2090

- 0028

Expires 6/30/2015



# The Future of the Chesapeake Bay

A Brief Survey

The Clean Water Act authorizes collection of this information. All responses will be kept confidential to the extent permitted by law.

Response to this survey is voluntary and no action will be taken against you if you choose not to take part. The public reportin g burden

for this form is estimated to average 5 minutes per response. Send comments regarding the burden estimate or any other aspect of

this form to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Av e., NW,

Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the survey materials to this address. 

# DRAFT1 

## The Chesapeake Bay Watershed

The Watershed

Is shaded in light grey on

this map.

It includes about 4,200

freshwater lakes

.

Water draining from lands

in the Watershed enters

rivers and streams and

eventually the Chesapeake

Bay. This survey asks you about two types of water bodies in the Chesapeake Bay Watershed

— the

Chesapeake Bay itself and Lakes in the Watershed. Each has different characteristics and

potential water quality concerns.



## The Chesapeake Bay

Is an estuary where freshwater mixes with

saltwater from the ocean. It is the largest

estuary in North America and the third

largest in the world.

As shown in dark grey on this map, the

Bay includes portions of the 50 rivers that

flow into it, for example:

The James River up to Richmond, VA

The Potomac River up to

Washington, DC

Please use this definition of the

Chesapeake Bay when answering

questions on this survey.2

2. On average, how often do you see the following water bodies? (Please check

ONLY ONE box in each row .)

3. In the last five years , have you participated in recreational activities

(including swimming, boating, fishing, or viewing nature) at the...

(Please check ONLY ONE box in each row .)

4. Before taking this survey, were you aware that too much nutrients or sediment

can degrade water quality?



# □ Yes 

# □ No 

# □ Don’t know Chesapeake Bay: 

# □ Yes 

# □ No 

# □ Don’t know

Watershed Lakes: 

# □ Yes 

# □ No 

# □ Don’t know Never Less than

once a month More than

once a month Don’t Know

Chesapeake Bay: 

# □ □ □ □

Watershed Lakes: 

# □ □ □ □ 1. Before receiving this survey, had you heard of the Chesapeake Bay?



# □ Yes 

# □ No 

# □ Don’t know3 5. Please rate how much you agree or disagree with the following statements.

(Please circle one number for each statement .)

Strongly

Disagree Strongly

Agree Don’t

Know

It is important to improve waters in the

Chesapeake Bay Watershed, no matter

how high the costs. 1 2 3 4 5 DK

I am against any more regulations and

government spending. 1 2 3 4 5 DK

My household should not have to pay any

amount for programs to improve Bay

Waters and Watershed Lakes. 1 2 3 4 5 DK

It is often difficult for me to find time to

take surveys. 1 2 3 4 5 DK4 Thank you very much for your help.

Please mail this completed survey back to us in the postage

- paid return envelope provided. 

## Questions about you and your household

Finally, we would like to ask a few questions about you and your household.
Your answers will not be saved or stored in a way that can be associated with your name or address. You will not be contacted about your responses or this survey.

16. What is your sex? 

# □ Male 

# □ Female

17. What is your age? _____ years old

18. How many children under age 18 are living in your home? _____children

19. Have you or any member of your family ever worked in any of the following industries or jobs?



# □ Agriculture 

# □ Tour guide for fishing



# □ Commercial fishing 

# □ Environmental non

- profit group



# □ No one in my family ever worked in these industries

20. In 2012, what was your total pre

- tax household income, including all earners in your household?



# □ Under $25,000 

# □ $100,000

- $149,999



# □ $25,000

- $49,999 

# □ $150,000

- $199,999



# □ $50,000

- $74,999 

# □ $200,000 or more



# □ $75,000

- $99,000

21. Are you of Hispanic, Latino, or Spanish origin? 

# □ Yes 

# □ No

22. What is your race? (Select one or more.)



# □ American Indian or Alaska Native 

# □ Asian



# □ Black or African American 

# □ White



# □ Native Hawaiian or Other Pacific Islander

23. What is the highest degree or level of school you have completed?



# □ Elementary or high school, but no high school diploma or GED



# □ High school diploma, GED, or other high school completion



# □ Some college credit, no degree



# □ Associate’s Degree (for example: AA, AS)



# □ Bachelor’s Degree (for example: BA, BS)



# □ Master’s degree, professional degree, or doctorate degree

(for example, MA, MSW, MD, DDS, JD, PhD, EdD)5



## Thanks again for completing this survey

If you have any questions please call XXX

- XXX

- XXXX

or email chesapeake

- survey@abt.com.